TERESA L LEATHERLAND

LAFAYETTE, IN
NPI1053536110
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy246ZS0410X Specialist/Technologist, Other, Surgical Technologist
(Licence: IN  102773)
Enumeration Date2007-04-16
Last Update Date2007-07-08
Business Address
-- TERESA L LEATHERLAND CST
904 SOUTH ST
LAFAYETTE, IN 47901-1416
Phone number: 765-742-2441
Mailing Address
-- TERESA L LEATHERLAND CST
PO BOX 4699
LAFAYETTE, IN 47903-4699
Phone number: 765-742-2441
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